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Share your test results (if you'd like)

Prostate Cancer | Last Active: 11 hours ago | Replies (122)

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Profile picture for jimgaudette @jimgaudette

Your chances are much higher of getting castrate resistant PCa if you take it continuously. Let’s face it, we are all going to die of one thing or another. The most important thing is the quality of the time we have left.

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Replies to "Your chances are much higher of getting castrate resistant PCa if you take it continuously. Let’s..."

"Your chances are much higher of getting castrate resistant PCa if you take it continuously."

I don't think the research has established that (yet), but it is a solid hypothesis. The thing is, there are basically three options:

1. if the cancer's not progressing, it's not progressing, regardless of what you're taking.

2. if it is progressing and you take ADT to shut down the castrate-sensitive cells, then the tiny minority of cells (if any) that are castrate-resistant may keep multiplying and eventually become dominant (though ARSIs like the -lutamides can postpone that, sometimes indefinitely)

3. if it is progressing and you *don't* take ADT, then the castrate-sensitive cells will remain dominant, but they'll still keep spreading because you're not doing anything to shut them down.

Neither option 2 nor 3 sounds great, but if option 2 gives you a lot more time before significant progression, that works for me.